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1235741901
DEIDRA LEWIS
JACKSONVILLE, FL
NPI
1235741901
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW13411)
Enumeration Date
2020-08-23
Last Update Date
2023-06-21
Business Address
DEIDRA LEWIS LCSW
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209-6525
Phone number: 904-470-6900
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Mailing Address
DEIDRA LEWIS LCSW
1536 N JEFFERSON ST
JACKSONVILLE, FL 32209-6525
Phone number: 904-470-6900
Copy
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